Information Collection

Application for the Review of Discharge from the Armed Forces of the United States

IC 5237 under ICR 200608-0704-008 · OMB 0704-0004.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0704-0004 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form DD-293 Application for the Review of Discharge From the Armed Forces of the United States Application for the Review of Discharge from the Armed Forces of the United States	Form
DD-293 Application for the Review of Discharge From the Armed F dd0293_draft.pdf	Form
0704-0004 Signed 83-I.pdf 0704-0004 Signed 83-I.pdf	IC Document
AUTHORITY LINKS.doc Authority Links	IC Document
d133241p.pdf DoD Directive 1332.41	IC Document

IC Title:

Application for the Review of Discharge from the Armed Forces of the United States

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	DD-293				Yes	No	Fillable Printable

Line of Business: Defense and National Security

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 5,607

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 30 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	5,607	-393	6,000
Annual IC Time Burden (Hours)	2,804	-196	3,000
Annual IC Cost Burden (Dollars)	34,483	34,483	0

Documents for IC

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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